多组分运动干预联合多学科指导下营养干预应用于老年慢性心力衰竭并发衰弱患者的效果

doi:10.20223/j.cnki.1000-8535.2026.02.011

摘要/Abstract

摘要： 目的探讨多组分运动干预联合多学科指导下营养干预应用于老年慢性心力衰竭（CHF）并发衰弱患者的效果。方法选择郑州市第七人民医院收治的CHF并衰弱患者102例,纳入时间为2023年11月—2024年10月,按照随机数表法分为对照组51例给予常规运动干预+多学科指导下营养干预,观察组51例给予多组分运动干预+多学科指导下营养干预,观察两组衰弱状态、心功能指标、营养状况、生活质量、不良事件发生率。结果与对照组相比,观察组干预后身体、心理、社会及总分明显更低（P<0.05）。与对照组相比,观察组干预后左室射血分数（LVEF）水平明显更高,超敏心肌肌钙蛋白T（hs-cTnT）、N末端B型利钠肽前体（NT-proBNP）、左室舒张末期内径（LVEDD）水平更低（P<0.05）。与对照组相比,观察组干预后主观整体营养状况评价表（PG-SGA）评分明显更低,血红蛋白（Hb）、前白蛋白（PA）、白蛋白（ALB）水平更高（P<0.05）。与对照组相比,观察组干预后症状、身体、情感及总分更低（P<0.05）。观察组不良事件发生率（1.96%）低于对照组（15.69%）（P<0.05）。结论对CHF并发衰弱患者应用多组分运动干预联合多学科指导下营养干预,能够减轻衰弱状态,改善心功能及营养状况,促进生活质量的提升,并降低不良事件发生率。

关键词: 衰弱, 老年慢性心力衰竭, 多组分运动干预, 营养干预

Abstract: Objective To explore the effect of multi-component exercise intervention combined with nutritional intervention under multidisciplinary guidance in elderly patients with chronic heart failure（CHF）and frailty．Methods From November 2023 to October 2024,102 CHF patients with frailty admitted to Zhengzhou Seventh People's Hospital were selected and included． According to the computer grouping method,they were divided into a control group with 51 patients,received routine exercise intervention and multidisciplinary nutrition intervention,and an observation group with 51 patients,received multi-component exercise intervention and multidisciplinary nutrition intervention．The frailty status,cardiac function indicators,nutritional status,quality of life and incidence of adverse events were observed in both groups．Results Compared with the control group,the observation group showed significantly lower physical,psychological,social,and total scores after intervention（P<0.05）．Compared with the control group,the observation group showed significantly higher levels of left ventricular ejection fraction and lower levels of high-sensitivity cardiac troponin N-terminal pro-B-type natriuretic peptide,and left ventricular end-diastolic dimension after intervention（P<0.05）．Compared with the control group,the observation group had significantly lower Patient-Generated Subjective Global Assessment scores and higher levels of hemoglobin,prealbumin,and albumin after intervention（P<0.05）．Compared with the control group,the observation group had significantly lower symptoms,physical,emotional,and total scores after intervention（P<0.05）．The incidence of adverse events in the observation group（1.96%）was lower than that in the control group（15.69%）（P<0.05）．Conclusions Multi-component exercise intervention combined with multidisciplinary nutritional intervention in patients with CHF and frailty can alleviate frailty,improve cardiac function and nutritional status,quality of life,and reduce the incidence of adverse events．

Key words: frailty, elderly chronic heart failure, multi-component exercise intervention, nutritional intervention

王梦雅, 张俊, 程雨倩. 多组分运动干预联合多学科指导下营养干预应用于老年慢性心力衰竭并发衰弱患者的效果[J]. 广州医药, 2026, 57(2): 202-208.

WANG Mengya, ZHANG Jun, CHENG Yuqian. The effect of multi-component exercise intervention combined with nutritional intervention under multidisciplinary guidance in elderly patients with chronic heart failure and frailty[J]. Guangzhou Medical Journal, 2026, 57(2): 202-208.

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